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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Laparoscopic hernia repair versus open herniotomy in children: A controlled randomized study
Minimally Invasive Surgery, Volume 2012, Article 484135, Year 2012
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Description
Background. Laparoscopic hernia repair in infancy and childhood is still debatable. The objective of this study is to compare laparoscopic assisted hernia repair versus open herniotomy as regards operative time, hospital stay, postoperative hydrocele formation, recurrence rate, iatrogenic ascent of the testis, testicular atrophy, and cosmetic results. Patients and Methods. Two hundred and fifty patients with inguinal hernia were randomized into two equal groups. Group A was subjected to laparoscopic inguinal hernia repair. Group B was subjected to open herniotomy. The demographic data were matched between both groups. Assessment of the testicular volume and duplex assessment in preoperative, early, and late postoperative periods were done. Results. All cases were completed successfully without conversion. The mean operative time for group A was 7.6 ± 3.5 minutes, 9.2 ± 4.6 minutes and 11.4 ± 2.7 minutes, for unilateral hernia, unilateral hernia in obese child, and bilateral hernia, respectively. The recurrence rate was 0.8% in group A, whereas in group B the recurrence rate was 2.4%. Conclusion. Laparoscopic hernia repair by RN is an effective line of hernia repair. It resulted in marked reduction of operative time, low rate of recurrence, no testicular atrophy, no iatrogenic ascent of the testis, and excellent cosmetic results. © 2012 Rafik Shalaby et al.
Authors & Co-Authors
Shalaby, Rafik Y.
Egypt, New Damietta
Al-azhar University Hospital
Ibrahem, Refaat
Egypt, New Damietta
Al-azhar University Hospital
Shahin, Mohamed
Egypt, New Damietta
Al-azhar University Hospital
Yehya, Abdelaziz
Egypt, New Damietta
Al-azhar University Hospital
Abdalrazek, Mohamed
Egypt, New Damietta
Al-azhar University Hospital
Alsayaad, Ibrahim
Egypt, New Damietta
Al-azhar University Hospital
Shouker, Maged
Egypt, New Damietta
Al-azhar University Hospital
Statistics
Citations: 75
Authors: 7
Affiliations: 1
Identifiers
Doi:
10.1155/2012/484135
ISSN:
20901445
e-ISSN:
20901453
Research Areas
Health System And Policy
Maternal And Child Health